KIM THI VAN DMD
NPI 1669491817
Dentist in Corsicana, TX

Active since July 19, 2006PECOS Enrolled
3811 W HIGHWAY 31 STE 108, CORSICANA, TX 75110(903) 229-4573 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Thi Van Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM THI VAN DMD (NPI 1669491817) is an individual dentist in Corsicana, Texas, licensed in Texas (23133) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669491817
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKIM THI VANCredential: DMD
Location Address3811 W HIGHWAY 31 STE 108Corsicana, TX 75110-9211
Mailing Address4712 Sea Hawk StGrand Prairie, TX 75052-4147 · (469) 882-8883
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
NPI 1669491817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 23133
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3811 W HIGHWAY 31 STE 108, Corsicana, TX 75110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kim Thi Van Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Van's NPI number?

The NPI number for Kim Van is 1669491817. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kim Van located?

Kim Van practices at 3811 W Highway 31 Ste 108, Corsicana, TX 75110. The listed phone number is (903) 229-4573.

What is Kim Van's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kim Van enrolled in Medicare?

Yes. Kim Van is registered in the Medicare PECOS enrollment system.

What insurance does Kim Van accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Kim Van as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Van was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.